Methods and compositions for treating cannabis use disorder and mitigating cannabinoid withdrawal
The present invention provides methods of treating cannabis withdrawal syndrome and other cannabis related conditions, including cannabis use disorder, in a subject, comprising administering to the subject in need thereof an effective amount of a cannabinoid or an effective amount of a cannabinoid and an effective amount of a second active agent, such as gabapentin or a gabapentin analog.
1. A method of treating cannabis withdrawal syndrome, comprising administering to a patient in need thereof about 6 mg of nabilone and a therapeutically effective amount of gabapentin on a daily basis.
2. The method of claim 1 , wherein the amount of gabapentin administered is about 200-750 mg per day.
3. The method of claim 2 , wherein the amount of gabapentin administered is about 300-600 mg per day.
4. The method of claim 3 , wherein the treatment results in a reduction in cannabis withdrawal syndrome symptoms as measured by evening cortisol levels, sleep, weight loss, standing heart rate, craving or withdrawal scoring based on the results of one or more questionnaires administered to the subject, withdrawal symptoms based on observations of a health care provider, and combinations thereof.
5. The method of claim 4 , wherein the reduction in symptoms occurs within a time frame following administration of nabilone and gabapentin selected from the group consisting of about 36 hours, about 24 hours, about 18 hours, about 12 hours, about 10 hours, about 8 hours, about 6 hours, and about 4 hours or less.
6. The method of claim 3 , wherein the daily dose is administered for at least 3 days.
7. The method of claim 3 , wherein the daily dose of nabilone and gabapentin is administered once daily.
8. The method of claim 4 , wherein the reduction in cannabis withdrawal syndrome symptoms comprises a reduction in craving sensations.
9. The method of claim 4 , wherein the reduction in cannabis withdrawal syndrome symptoms comprises a reduction in sleep disturbance and/or an improvement in sleep quality.
10. The method of claim 3 , wherein the treatment results in a reduction in cannabis withdrawal syndrome symptoms as measured by one or more assessment tools selected from the group consisting of WBS score, WBS 6 question subscale score, CWS 6 question subscale score, the Craving subscale, PGI-S, PGI bothersomeness or CGI, wherein the daily dose of nabilone and gabapentin is adjusted in a manner that maintains a withdrawal score on the selected assessment tool to within 150% of the score that is achieved about 24 hours after the first dose of nabilone and gabapentin is administered.
11. The method of claim 3 , wherein the treatment results in a reduction in cannabis withdrawal syndrome symptoms as measured by one or more assessment tools selected from the group consisting of WBS score, WBS 6 question subscale score, CWS 6 question subscale score, the Craving subscale, PGI-S scale, PGI bothersomeness scale or CGI scale, wherein the daily dose of nabilone and gabapentin is adjusted in a manner that maintains a withdrawal score on the selected assessment tool as selective from the group consisting of, a score of 40 or less on the CWS, a score of 25 or less on the CWS 6 question subscale, a score of 20 or less on the WBS, a score of 4 or less on WBS 6 question sub scale, a score of 2 or less on the Craving sub scale, a score of 1.5 or less on the PGI-S scale, a score of 1.0 or less on the PGI bothersomeness scale or a score of 1.5 or less on the CGI.
12. A kit for treating cannabis withdrawal syndrome comprising:
a. a plurality of daily doses of nabilone;
b. a plurality of daily doses of gabapentin; and
c. optionally a dosing schedule for administering the nabilone and gabapentin.
13. The kit of claim 12 , comprising daily doses of nabilone of about 6 mg.
14. The kit of claim 13 , comprising daily doses of gabapentin of about 300-600 mg.